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Our Fear Free methods and our compassionate staff look forward to making your pet's visit to the vet a positive one! Providers must document this choice in the member's medical record. The Healthcare Service resource typically describes services offered by an organization/practitioner at a location. Updates will be posted at cchealth.org. If you are a member or potential member it is important for you to understand how our two networks are organized. You can also use the filters to search for more specific information. Monterey Certificate. Sometimes, there is not a needed provider close enough. Were committed to supporting our providers, so that together we deliver the highest-quality, individualized care to your patients. They might also work in different offices or clinics. Commonwealth Care Alliance (CCA) is pleased to announce that we are partnering with Cognizant to implement our new claims platform, Facets, effective Q2 2023. The Central California Alliance for Health (the Alliance) has contracted with Beacon Health Options to provide some outpatient mental health services. Select insurance plans of the specified type. [parameter=value]&_include=Location:organization, GET [base]/Location? If the specialty needed is not available within the assigned network, which may be due to, but is not limited to the provider being unable to make an appointment in a timely manner, the provider is located unreasonably far away, or you require a specialty not present in the RMC network, CCHP and the assigned PCP may arrange for whatever referrals, authorizations, and treatments necessary with a specialist that is available in a non-assigned network. CCA Senior Care Options, CCA Medicare Value, and CCA Medicare Preferred are available in 10 counties in Massachusetts: Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Yuba, Specialty: You can search for a specific doctor, or for types of doctors like specialists, by using ourFind a Doctorsearch. Chinese Select PractitionerRoles available at the specified location. If you are a member and would like to choose one of our PCPs, please contact our Member Services department at 1-877-661-6230 option 2. Sacramento [parameter=value]&_include=PractitionerRole:practitioner, GET [base]/PractitionerRole? If you do not have your Alliance ID number, click on the link for the General Pharmacy Locator. Providers are doctors, physicians or other healthcare professionals that accesses information to help patients or track a refund. To change your primary care provider or get detailed information about your healthcare benefits and prior authorization requirements, call our Member Services team at 866-610-2273(TTY 711). Who is CenCal Health/What is a Local Health Plan? Location Name: Name of the doctor's office or hospital address. CCP must include these essential providers in its network, even if the provider is located outside of the region served by CCP. Riverside SHOULD: A best practice or recommendation for the implementation. You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer . Sometimes, there is not a needed provider close enough. Please refer to the Kaiser Assignment Criteria document located at cchealth.org/CCHPmaterials or contact Member Services at 1-877-661-6230 (press 2) for more information. To report incorrect provider information, members can contact member services by calling 1-877-661-6230 option 2 or by email: cchp@cchealth.org and Providers or the general public can contact Provider Relations at directoryupdates@cchealth.org or by calling 1-877-800-7423 option 6. As of January 2013, all HIPAA-covered entities must adhere to the federally mandated Phase I and II CAQH CORE Operating Rules, which relate to patient eligibility and claim status. Trinity Sutter Sierra Quality Data: Hospital quality data is available through the Joint Commission website, through the link to Quality Check. Telephone wait time for practice/plan to answer: within 10 minutes, Telephone call back wait time practice/provider office: by the end of the next business day, Telephone call back wait time triage: within 30 minutes. Hospitals: The network hospitals a doctor can see their patients in. Potential members may contact our Marketing Department at 1-877-661-6230 option 6. Taiwanese Find a Provider You can use our online directory to find doctors, specialists and other providers in the network that come with your plan. To report any errors, click on the link below. Select services associated with the specified specialty. By entering an e-mail in this field I am confirming that the e-mail provided is intended for patient communication and is regularly monitored and maintained in a manner consistent with State and Federal laws. Click to see Board of Directors Meeting Schedule/Upcoming Agenda. Oral Pathologist Select Organizations with the specified name. Select health insurance provider networks available in a region described by the specified location. GET [base]/OrganizationAffiliation/[id]/_history/vid, GET [base]/OrganizationAffiliation? GET [base]/Practitioner/[id]/_history/vid, GET [base]/Practitioner?[parameter=value]&_revinclude=PractitionerRole:practitioner. [parameter=value]&_include=HealthcareService:location, GET [base]/HealthcareService? The hospital reports the safety and quality of its care. Select HealthcareServices available at the specified location. The DaVinci PDEX Plan-Net Location profile is based on the core FHIR US Core Location resource. Hospital information is verified by viewing the information listed on their website. This information is subject to change without notice. Ventura Compassionate Care Animal Hospital (CCAH) is a full-service animal hospital located in Ann Arbor, Michigan. A profile is a set of rules which allows a resource to be constrained, or to include extensions, so the resource can add additional attributes. Thank you for the opportunity to partner with you. The Provider Directory API supports the following FHIR approved implementation guide, and supports the following profiles: The base URL for each endpoint: [The Provider Directory platform is being retooled and this link will be available soon], [The Provider Directory platform is being retooled and this link will be available soon]. CCA One Care is available in 12 counties in Massachusetts: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester. Santa Barbara County Providers In this listing, you will find a complete list of contracted CenCal Health providers in Santa Barbara County. Then click the magenta Get Location button. Our Member Services staff can help you find and select a doctor from the Provider Directory for Members. Hindi To set a specific location, enter an address, city, ZIP code, and/or point of interest in the Location Search box. The DaVinci PDEX Plan-Net PractitionerRole profile is based on the core FHIR PractitionerRole resource. . Enhanced Care Management and Community Supports, Utilization Management: Authorization and Referrals, Request Printed Copy of Provider Directory, The American Board of Medical Specialties website, linguistic access and accessibility policy, Urgent care appointments not requiring prior authorization: within 48 hours of request, Urgent care appointments requiring prior authorization: within 96 hours of request, Non-urgent appointments for primary care: within 10 business days of request, Non-urgent appointments with specialists: within 15 business days of request, Non-urgent appointments for ancillary services for the diagnosis or treatment of injury, illness or other health conditions: within 15 business days of request, First Prenatal Visit: within 14 calendar days of request, Mental Health Routine Non-Urgent: within 10 business days of request, Mental Health Routine Non-Urgent Follow-Up: within 10 business days of request, Mental Health Urgent: within 48 hours of request. Medical group: This information is collected from the group at the time they initially join the network. If you have a timely access concern, you can contact CCHP's Utilization Management at 1-877-661-6230 option 4 or file a complaint with the California Department of Managed Health Care by calling the DMHC Toll-free provider complaint line at: 1-877-525-1295. Follow-up on missed appointments: Providers are expected to review all members that do not show up for scheduled appointments and to identify those requiring follow-up, based on their medical condition. Tulare Members have the choice to refuse professional interpreters and use adult family members or friends. Found inside - Page 57. Phone Number: The doctors office or hospital phone number. [parameter=value]&_include=HealthcareService:organization, GET [base]/HealthcareService? . + Increase font size. Provider Directory Information Update Form Provider Directory Information Update Form Senate Bill 137 requires the Alliance to solicit updated information from providers on a regular basis to ensure that the most accurate data for your practice is included in our Provider Directories. An Organization refers to a formally or informally recognized grouping of people or organizations formed for the purpose of achieving some form of collective action. View rating by specialty and compare nearby hospitals. San Francisco ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. The CCA uncommon care model has demonstrated success in reaching and engaging individuals with significant medical, behavioral, and social needsimproving quality of care while keeping patients and members safely at home. Search by Doctor Type Search by Doctor Name Search by Hospital/Facility Doctor type Primary Care Physician Specialty Select Primary Care Type Family Medicine Zip Code Distance Within 15 miles Plan Type Using read-only RESTful GET API calls (PUT and POST are not currently supported), you can create an application to access information about our providers and pharmacies. Exceptions may apply to the timely access standards if the DMHC has found exceptions to be permissible. Location: The doctors office or hospital address. You can also access the Kaiser online directory. Registered Dental Hygienists in Alternative Practice. GET [base]/InsurancePlan/[id]/_history/vid, GET [base]/InsurancePlan? Santa Barbara Languages Spoken: These abilities are self-reported by the providers in the CPN network when the provider joins the network and at the time of recredentialing. Provider Directory - Central California Alliance for Health Home > For Providers > Provider Resources > Provider Directory Provider Directory Online Provider Directory Search the Online Provider Directory. Contra Costa Health Plan (CCHP) has been serving the health care needs of Contra Costa County for over 40 years. Members who are enrolled in our Medi-Cal plan or County Employee Plan B can choose providers from the CPN or RMC network. Select products with the specified identifier. Mendocino [parameter=value]&_include=Organization:partof, GET [base]/Organization? Farsi Mariposa A Network refers to a health care provider insurance network. Select PractitionerRoles associated with the specified specialty. Connecting, solving and transforming healthcare business challenges. The Boston Globe Names Commonwealth Care Alliance a Top Place to Work for 2022, 8:00 am to 6:00 pm, Monday through Friday, Superior patient experiences and improved clinical outcomes, Optimal access, responsiveness, transparency, and timeliness in all our communications, Operational excellence and strong analytics and reporting that support provider performance. Please select a specialty Depending on the plan, benefits may include $0 primary care visits, $0 annual dental and eye exams, $0 transportation, $0 identity theft protection, and $200 or more for over-the-counter health products. We share our providers dedication to assuring the highest levels of care and service for people with complex health needs. Alameda For more information or any questions please call Member Services at 1-866-899-4828 TTY/TDD 1-855-655-5303. To select the Kaiser Permanente Medical Group as your PCP for Medi-Cal, you must have been a recent Kaiser member or meet other criteria to qualify. Select products that are owned by the specified organization. Gender: A doctors sex, either Male or Female. 1 Percent of ICO + SCO members weighted together who have at least one qualifying touch by a care team member within a given month (Rolling three-month average, 7/2021), 2Combined CCA ICO + SCO rate per 1,000 members; hospitalization rates are consistently below the per capita averages during COVID-19 pandemic. , California Some doctors might have all the patients they can fit in, while still giving you the best care. Alliance Care IHSS Price Transparency Tool. Step 3a: At Commonwealth Care Alliance, we take responsibility for making our relationship with each provider a true partnership. Board Certification: Information on board certification is verified at the time of credentialing and re-verified at least every three years at the time of re-credentialing. El Dorado [parameter=value]&_revinclude=InsurancePlan:coverage-area, GET [base]/Location? Board certifications for most Doctors of Osteopathic Medicine (D.O.) FAQs, Case Studies, Issue Briefs, and more. Learn More. Medi-Cal Dental Program. Kern Senate Bill 137 requires the Alliance to solicit updated information from providers on a regular basis to ensure that the most accurate data for your practice is included in our Provider Directories. [parameter=value]&_revinclude=HealthcareService:location, GET [base]/Location? Arabic Nurse Advice Line Public Health, * Language: The information reported on this Web site is based on the information provided to CCHP from the participating provider and/or verified by licensing and accrediting entities. Select OrganizationAffiliations with the specified role. In those situations, CenCal Health can still get you care. Learn best practices and earn CBI payments for ACE screenings at your practice. Essential Provider: Essential Providers are certain providers that are statewide resources for all Managed Care Plans in all regions. Sonoma Depending on the plan, benefits may include $0 primary care visits, $0 annual dental and eye exams, $0 transportation, $0 identity theft protection, and $200 or more for over-the-counter health products. Please indicate the name of your practice in the box above. The RESTful capabilities are discussed in further detail below. Russian Select OrganizationAffiliations available at the specified location. Select roles offered by the specified organization. Hospital Affiliation: This information is collected from the provider at the time they initially join the network and verified upon initial and recredentialing, quarterly through the Network Update link, and reviewed on an annual basis. General Practitioner CCA will not contact you unless we have questions about your request. Authentication is not required to access the Conformance resource. The DaVinci PDEX Plan-Net InsurancePlan profile is based on the core FHIR InsurancePlan resource. Full Print Version of the CBH Provider Directory (Updated 1/3/2023) Step 1: Are you looking for a provider that services adults or children/adolescents? * If your language is not listed, please call the Telephone Service Center at 1-800-322-6384 for free translation services during a dental appointment. [parameter=value]&_revinclude=HealthcareService:organization, GET [base]/Organization? Imperial The Central California Alliance for Health (the Alliance) is an award-winning regional Medi-Cal managed care plan that provides health insurance for children, adults, seniors. Alliance members and Primary Care Providers (PCPs) may access Beacon Health Options 24 hours a day, 365 days a year via a toll-free line. The local timezone is named Europe / Berlin with an UTC offset of 2 hours. Medi-Cal Dental Dental Portal Medi-Cal Provider Directory Enter the appropriate information below to view a list of Dental Providers who may be accepting new Medi-Cal patients. This directory gives members, potential members and providers access to our two networks (Regional Medical Center (RMC) and the Community Provider Network (CPN) of physicians, pharmacies, hospitals and ancillary providers. Dont miss our bimonthly newsletter for community partners. The call is free. A Reset font size. Were committed to achieving: Partnering with you to keep your patients living safely and independently in their homes and communities is at the heart of our mission. A Increase font size. The Index is the authoritative source of information on the healthcare industrys progress toward more automated and efficient business processes. Select HealthcareServices providing the specified category of services. Search by plan name, specialty, location, or provider name. This certificate expires, so CCP checks it at least every 3 years. The CAQH CORE Phase III Operating Rules for EFT & ERA have been mandated by HHS and since January 2014 any provider should be asking forthe streamlined electronic transactions that can result due to these operating rules and their affiliated standards. CCP checks this information at least every 3 years. Implements RESTful behaviors according to the FHIR specification. Adults Children/ Adolescents Step 2: Please enter your address to determine the closest providers. In an effort to provide CCHP members and providers with useful information to make decisions, CCHP updates provider and facility information within thirty (30) business days after we are notified of a change. Call 866-610-2273 (TTY 711). [parameter=value]&_include=PractitionerRole:location, GET [base]/PractitionerRole? You have the right to call our Member Services department at 1-877-814-1861 to get help finding an appointment to a closer specialist. CAQH CORE is the author of the final set of ACA-mandated operating rules for remaining HIPAA transactions, which include healthcare claims, enrollment and disenrollment in a health plan, premium payments, prior authorization and claims attachments. Santa Cruz Member Handbook Accessibility CenCal Health is contracted with many primary care providers, specialists, pharmacies and hospitals in your area. Using read-only RESTful GET API calls (PUT and POST are not currently supported), you can create an application to access information about our providers and pharmacies. The ACA has taken operating rules to a new level. All of CCHP contracted hospitals utilize hospitalists to admit and provide services to inpatient members. Our directories are printed by county. [parameter=value]&_revinclude=PractitionerRole:network, GET [base]/Organization?[parameter=value]&_revinclude=OrganizationAffiliation:participating-organization. Select Practitioners with the specified family name. The DaVinci PDEX Plan-Net HealthcareService profile is based on the core FHIR HealthcareService resource. Llame al 866-610-2273 (TTY 711). San Bernardino Select roles filled by the specified organization. CalAIM: Enhanced Care Management (ECM) and Community Supports (CS) require prior authorization and are limited to members who meet specific eligibility criteria. Hours: When the office or hospital is open to see patients. Interpreter services are available at all CCHP points of contact where members may reasonably need such services. A Increase font size. The FHIR server must return this data. **In Dukes and Nantucket Counties: CCA health plans are not yet available. Availability of Hard Copy Directories: Members may request printed directories or have web pages printed and mailed to them by clicking on the link below. In addition, on a quarterly basis, CCHP emails a Network Update link to each facility to report any changes to the information CCHP has on file. A specific set of Roles/Locations/specialties/services that a practitioner may perform at an organization for a period of time. Select HealthcareServices provided by the specified organization. Below we describe the information in the fields in the provider directory. ccah provider directory400,000 mile ecoboost. Placer Click here to see the detailed categorization and full set of resources that fall into this category in the HL7 FHIR Standard. Inyo View Urgent Visit Access Offices in Monterey County. Timely Access to Care: The California Department of Managed Health Care (DMHC) has regulations set forth in Title 28, Section 1300.67.2.2 for health plans to provide timely access to care for our members. English Provider Directory Welcome to Contra Costa Health Plan's Provider Online Search Engine Begin Your Search Here Request Printed Copy of Provider Directory Or call: 1-877-661-6230 (Option 2) Or write: Contra Costa Health Plan Attn: Member Services 595 Center Avenue, Suite 100 Martinez, CA 94553 View/Download Copy of Provider Directory Find-A-Dentist. Note: For more information about the FHIR RESTful API, please refer to the HL7 FHIR RESTful API topics. Hospital Quality: The hospitals performance rating. San Diego We collect this information when providers join the network and is reviewed quarterly at the time of the provider network update. CCA now offers three Medicare plans in Massachusetts that combine medical and dental coverage, prescription drugs, and supplemental benefits. Stanislaus If your zip code and provider type are listed, CenCal Health will assist you in getting an appointment. [parameter=value]&_revinclude=InsurancePlan:administered-by, GET [base]/Organization? This makes sure that Medi-Cal members have access to covered services. Select products that are administered by the specified organization. The Alliance FHIR server SHALL be capable of returning a HealthcareService resource using: The Alliance FHIR server SHOULD be capable of returning a HealthcareService resource using: The Alliance FHIR server SHALL be capable of supporting the following _include parameters: The Alliance FHIR server SHALL be capable of supporting the following _revinclude parameters: The Alliance FHIR server SHALL be capable of returning an InsurancePlan resource using: The Alliance FHIR server SHOULD be capable of returning an InsurancePlan resource using: The Alliance FHIR server SHALL be capable of returning a Location resource using: The Alliance FHIR server SHOULD be capable of returning an Organization resource using: The Alliance FHIR server SHALL be capable of returning an Organization resource using: The Alliance FHIR server SHALL be capable of returning an OrganizationAffiliation resource using: The Alliance FHIR server SHOULD be capable of returning an OrganizationAffiliation resource using: The Alliance FHIR server SHALL be capable of returning a Practitioner resource using: The Alliance FHIR server SHOULD be capable of returning a Practitioner resource using: The Alliance FHIR server SHALL be capable of supporting the following _revinclude parameter: The Alliance FHIR server SHALL be capable of returning a PractitionerRole resource using. Health and Wellness Rewards It mandated healthcare operating rules for HIPAA claims-related electronic transactions, and CAQH CORE was named by the Secretary of Health and Human Services (HHS) as the authoring entity of these operating rules. CCA Senior Care Options Directory Documents, CCA Medicare Advantage Directory Documents, Berkshire, Franklin, Hampden, Hampshire-Spanish. This is not a guarantee they will be available to accept additional patients at the time you contact them. To find a pharmacy, use Medi-Cal Rx's online pharmacy directory using the link below: The Central California Alliance for Health (the Alliance) contracts with a company called MedImpact to provide pharmacy services. Prosthodontist San Luis Obispo County Providers In this listing, you will find a complete list of contracted CenCal Health providers in San Luis Obispo County. Select Locations with the specified postal code address. Waiting time in provider office: within 45 minutes or less from the time of the patients appointment until they are taken to the exam room. Siskiyou Find Reviews and Contact information on Klinikum Altmhlfranken Gunzenhausen. Vietnamese We can assist you with your selection for primary care provider. A network is typically owned by a payer. CCH will closely monitor activity at the refinery and notify the public if the flaring results in any offsite health impact to the community. Lake If you are a solo practitioner, enter your name in the box above. Language Assistance Facility: CCHP updates facility information daily as changes are reported by the facility. Members who are enrolled in County Employee Plan A, Plan A2, or IHSS Plan A2, must choose providers from the RMC network only. The online search engine updates nightly based on information entered that day. The DaVinci PDEX Plan-Net Network profile is based on the core FHIR Organization resource, and the DaVinci PDEX Plan-Net Organization profile is based on the core FHIR US Core Organization resource. If a doctor or hospital makes a change to any of the information below, CCP updates the provider directory within 7 days of learning of the change. Frequently Asked Questions, GRIEVANCE FORM Specialty: The area of medicine the doctor provides care to patients. Preferred Provider: A doctor that meets strict quality standards. Search for providers using a specific location or your current location. Office of Licensing and Monitoring Provider Directories It should be noted that this is an all-inclusive resource directory of DHS licensed programs; however, not every provider listed is contracted with DHS to provide services to youth in placement. HL7 FHIR DaVinci PDEX Payer Network (Plan-Net) Implementation Guide Version 1.0.0, HL7 FHIR DaVinci PDEX Plan-Net Profiles, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Endpoint, DaVinci PDEX Plan-Net HealthcareService profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-HealthcareService, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/HealthcareServiceCategoryCS, DaVinci PDEX Plan-Net InsurancePlan profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-InsurancePlan, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsurancePlanTypeCS, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Location, http://terminology.hl7.org/CodeSystem/v3-RoleCode, DaVinci PDEX Plan-Net Organization profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Organization, http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/OrgTypeCS, DaVinci PDEX Plan-Net OrganizationAffiliation profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-OrganizationAffiliation, DaVinci PDEX Plan-Net Practitioner profile, http://hl7.org/fhir/us/davinci-pdex-plan-net/StructureDefinition/plannet-Practitioner, DaVinci PDEX Plan-Net PractitionerRole profile.